Organization Active NPI

BNM Professional Consulting Services, Inc.

  • Physical Therapist
  • Matteson, IL
National Provider Identifier
1790795805
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BNM PROFESSIONAL CONSULTING SERVICES, INC.
Practice address
4747 Lincoln Mall Dr
Suite #302
Matteson, IL 60443-3811
Phone
(708) 679-0680
Fax
(708) 679-0683
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Diane Vennessa Davis-Williams, ED.D.NPI 1053519090
Title
President
Phone
(708) 679-0680

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X IL Primary
Speech-Language AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 2355S0801X IL
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X IL

Addresses

Primary practice location

4747 Lincoln Mall Dr
Suite #302
Matteson, IL 60443-3811

Mailing address

4747 Lincoln Mall Dr
Suite #302
Matteson, IL 60443-3811
Phone (708) 679-0680

National Provider Directory

National Provider Directory

Locations

4747 Lincoln Mall Dr
Ste 302
Matteson, IL 60443
Phone (708) 679-0680

4747 Lincoln Mall Dr
Matteson, IL 60443
Phone (708) 747-7250

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1790795805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 LINCOLN MALL DR",
            "address_2": "SUITE #302",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604433811",
            "telephone_number": "708-679-0680",
            "fax_number": "708-679-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 LINCOLN MALL DR",
            "address_2": "SUITE #302",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604433811",
            "telephone_number": "708-679-0680",
            "fax_number": "708-679-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BNM PROFESSIONAL CONSULTING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "DAVIS-WILLIAMS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "VENNESSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-679-0680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matteson, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.